This is how we successfully treat chronic boutonnieres 1) serial cast them until full or near full extension of the PIP joint is obtained and the DIP joint is able to flex as much as the DIP joint of the same finger on the other hand. The lateral bands are still volar to the axis of the PIP joint if the DIP is still hyperextending. 2) start an 8 week full time (24/7) PIP extension splint. In th...

As therapists, we frequently perform manual massage, scar massage and joint mobilizations. These types of treatments often can cause pain at the metacarpal joint of the therapist’s thumb. Other professions, as well as activities, may also produce symptoms in this joint. The authors of this article have developed a splint to help protect our thumbs. — PEGGY L. FILLION, OTR, CHT, Practice Forum E...

be dlirninished. Attentiou,-too, may be directed to getting wVounds in these situations inito a healthy conditi n and closing then. InterrLuptions miglht be mnade to allow for dressings, but hjitlherto this has Inot been tried, as suclh changres would piobably be at the expense of comfort and simiplicity. MIajor M. Sinclair, R.A.M.C., hias suiagested that in the straight triangle splint the out...

OBJECTIVES To investigate the effects of lycra® arm splint wear on goal attainment and three dimensional (3D) kinematics of the upper limb and trunk in children with cerebral palsy (CP). DESIGN Randomised clinical trial whereby participants were randomised to parallel groups with waiting list control. PARTICIPANTS Sixteen children with CP (hypertonia) aged 9 to 14 years. INTERVENTION Thre...

Background: To study the difference between effects of wrist splint and nerve tendon gliding exercises forcarpal tunnel syndrome in women with computer desk job splintand non carpal syndrome.Methods: 34 Females objects symptomatic were selected randomly age groupbetween 25-30 years due consideration to inclusion exclusion criteria. In this subjects areselected. They divided into two groups usin...

Change in muscle tonus is characteristic of upper motor neuron disease. Upper limb hypertonus is mostly experienced in the flexor muscles group, causing abnormal fixed flexion of the elbow. This in turn leads to functional impairments in daily life (especially in stability while standing and walking, and in activities such as dressing), often accompanied by chronic pain. Extension of the spasti...

Susan Peters is Hand Therapist, Hand and Upper Limb Rehabilitation Unit, EKCO Occupational Services, Brisbane, Queensland, Australia. Joint stiffness and joint contracture are secondary complications of traumatic hand injury resulting in loss of active range of motion (AROM) and passive range of motion (PROM; American Society for Surgery of the Hand, 2006; Colditz, 2004; Creighton & Steichen, 1...

BACKGROUND Grip strength after wrist arthrodesis is reported to be significantly less than normal. One of the reasons suggested for this decrease in grip strength is that the arthrodesis was performed in a suboptimal position. However, there is no consensus on the ideal position of wrist fusion. There is a paucity of studies evaluating the effect of various fixed positions of the wrist on grip ...

Dorsally angulated proximal phalanx fractures have always presented a difficulty for treatment. A variety of options for treatment have been tried in the past, many of these are operative options and therefore carry the risks of a surgical procedure. We present a case of a conservatively managed proximal phalanx fracture using a reversed dynamic or static finger extension splint, such as Roylan...